Alaska Administrative Code
Title 12 - Professional Regulations
Part 1 - Boards and Commissions Subject to Centralized Licensing
Chapter 40 - State Medical Board
Article 1 - Rules of Professional Conduct
12 AAC 40.058 - Review of applications

(a) An applicant who meets the requirements on the appropriate checklist established in this section has demonstrated the necessary qualifications for the temporary permit, residency permit, courtesy license, or physician license applied for and will be approved by the board, executive secretary, or the board's designee for issuance of that license or permit. An applicant who does not meet the requirements on the appropriate checklist in this section for that permit or license will not be issued a permit or license unless the board further reviews the application and determines that the applicant meets the qualifications in AS 08.64 and this chapter for the permit or license applied for.

(b) The form titled Alaska State Medical Board Checklist - Physician, dated April 2019, is adopted by reference. This form is established by the board for the use by the executive secretary or a person designated by the board n completing the application processing for a temporary permit under AS 08.64.270 or a podiatrist license under AS 08.64.209; tliis form is also used by a board member or the executive secretary in completing the application processing for a physician or osteopath license under AS 08.64.230, or a podiatrist license under AS 08.64.209-

(c) The form titled Alaska State Medical Board Checklist - Resident Permit, dated February 2018, is adopted by reference. This form is established by the board for the use by the executive secretary in completing the application processing for a residency permit under AS 08.64.272.

(d) The form titled Alaska State Medical Board Courtesy License Checklist, dated February 2018, is adopted by reference. This form is established by the board for the use by the executive secretary in completing the application processing for a courtesy license under AS 08.01.062 and 12 AAC 40.045.

(e) The form titled Alaska State Medical Board Checklist - Locum Teitens Permit, dated April 2019, is adopted by reference. This form is established by the board for the use by a board member, the executive secretary, or a person designated by the board in completing the application processing for a temporary permit for lociun tenens practice under AS 08.64.275.